2019
DOI: 10.1111/irv.12657
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Emergence of waterfowl‐originated gene cassettes in HPAI H7N9 viruses caused severe human infection in Fujian, China

Abstract: Background Highly pathogenic avian influenza (HPAI) A(H7N9) virus emerged and caused human infections during the 2016‐2017 epidemic wave of influenza A(H7N9) viruses in China. We report a human infection with HPAI H7N9 virus and six environmental isolates in Fujian Province, China. Methods Environmental surveillance was conducted in live poultry markets and poultry farms in Fujian, China. Clinical and epidemiologic data and samples were collected. Real‐time RT‐PCRs were… Show more

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Cited by 9 publications
(6 citation statements)
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“…Given that the majority of H7N9 viruses are already resistant to amantadine, the occurrence of additional mutations conferring oseltamivir resistance remains a public concern. The NA R292K mutation was previously identified in some isolates from patients infected with H7N9 and it was suggested to associate with prolonged virus shedding and adverse clinical outcomes (32,33). It…”
Section: Discussionmentioning
confidence: 99%
“…Given that the majority of H7N9 viruses are already resistant to amantadine, the occurrence of additional mutations conferring oseltamivir resistance remains a public concern. The NA R292K mutation was previously identified in some isolates from patients infected with H7N9 and it was suggested to associate with prolonged virus shedding and adverse clinical outcomes (32,33). It…”
Section: Discussionmentioning
confidence: 99%
“…The six internal genes of the H7N9 virus were derived from at least two different H9N2 virus lineages, and the H7 and N9 genes came from wild birds [13][14][15][16][17]. Nonetheless, the H7N9 virus has continually undergone reassortment with other subtypes of AIVs since its emergence, such as seasonal influenza A virus H1N1, H3N2, and even influenza B virus [18][19][20], H5N6 [21,22], H6Ny [22,23], H9N2 [23][24][25][26][27][28], and even H7N9 itself [29]. As a result, multiple novel viruses were generated, including H7N2 [30], H7N3 [31], H7N4 [32], and H7N6 [33].…”
Section: Introductionmentioning
confidence: 99%
“…Waterfowls are susceptible to infection by IAVs and serve as natural reservoirs and can spread the viruses to other avian and mammal species. It has been documented that IAV reservoir hosts are important for generating novel reassortant viruses 5–7 …”
Section: Introductionmentioning
confidence: 99%
“…It has been documented that IAV reservoir hosts are important for generating novel reassortant viruses. 5 , 6 , 7 …”
Section: Introductionmentioning
confidence: 99%